EP3644873B1 - Surgical drill guide - Google Patents
Surgical drill guide Download PDFInfo
- Publication number
- EP3644873B1 EP3644873B1 EP18766565.8A EP18766565A EP3644873B1 EP 3644873 B1 EP3644873 B1 EP 3644873B1 EP 18766565 A EP18766565 A EP 18766565A EP 3644873 B1 EP3644873 B1 EP 3644873B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- drill
- drill guide
- bone
- alignment
- implant
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 210000000988 bone and bone Anatomy 0.000 claims description 34
- 239000007943 implant Substances 0.000 description 21
- 238000000034 method Methods 0.000 description 6
- 230000006835 compression Effects 0.000 description 4
- 238000007906 compression Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 210000003484 anatomy Anatomy 0.000 description 2
- 238000005266 casting Methods 0.000 description 2
- 229910010293 ceramic material Inorganic materials 0.000 description 2
- 239000002131 composite material Substances 0.000 description 2
- 238000005553 drilling Methods 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 238000003801 milling Methods 0.000 description 2
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 239000012781 shape memory material Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000007717 exclusion Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1714—Guides or aligning means for drills, mills, pins or wires for applying tendons or ligaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1717—Guides or aligning means for drills, mills, pins or wires for applying intramedullary nails or pins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1721—Guides or aligning means for drills, mills, pins or wires for applying pins along or parallel to the axis of the femoral neck
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1742—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip
- A61B17/1753—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the hip for fixing pins through femoral hip prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
- A61B17/1775—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body for the foot or ankle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/16—Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1796—Guides or aligning means for drills, mills, pins or wires for holes for sutures or flexible wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00668—Type of implements the implement being a tack or a staple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/064—Surgical staples, i.e. penetrating the tissue
- A61B2017/0645—Surgical staples, i.e. penetrating the tissue being elastically deformed for insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
- A61B2017/07264—Stapler heads characterised by its anvil characterised by its staple forming cavities, e.g. geometry or material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B2017/681—Alignment, compression, or distraction mechanisms
Definitions
- US 2015/282819 A1 discloses a staple holder and drill guide.
- the drill guide comprises: a handle including two openings; and two alignment tubes each having a substantially cylindrical shape and including a body that defines a drill passage that aligns with one of the two openings of the handle, the two alignment tubes each including a first end region attached to the handle and a second end region having a bottom surface that can contact bone, wherein the bottom surface of the body includes teeth.
- US 2013/213843 A1 discloses an orthopedic fixation system and US 2016/310125 A1 discloses a knotless suture anchor guide.
- Surgical drill guides are disclosed that allow holes to be drilled into bone at a desired location. Holes are drilled in the bone through referencing holes of the drill guide.
- a drill guide can be used for guiding a drilling tool (e.g., a drill bit) during formation of one or more holes in bone.
- a drill guide can be made out of metal (e.g., stainless steel), hard polymeric material, ceramic material, composite material, or any other material.
- a drill guide can be formed in any suitable fashion (e.g., casting, milling, etc.). Additionally, a drill guide can have various sizes and shapes, depending on the size and shape of a patient's anatomy, etc.
- Drill guides as disclosed herein allow an implant to be partially inserted after the holes are drilled and before the drill guide has been removed from the surgical location. With the disclosed drill guides, alignment pins are not required. Since a drill guide is not removed until the implant is partially inserted, the location of the drilled hole(s) is not lost. Thereby, methods disclosed herein include the specific exclusion of alignment pins. Various implants can be utilized with the disclosed drill guides.
- the present invention provides a drill guide according to claim 1.
- a method includes inserting a securing member of an implant through a window of a drill guide's alignment tube. Thereby, the securing member is received in a bone hole to attach the implant to the bone while the drill guide is still positioned relative to the bone.
- Surgical drill guides allow surgeons to accurately drill holes in a bone at a desired location. After drilling a hole, an alignment pin can be placed into the drilled hole to allow the surgeon to find the location of the hole during surgery. When an implant is to be inserted into the hole, the alignment pin is removed to allow the implant to be attached to the bone with a securing member received in the hole in the bone. However, once the alignment pin is removed, it may be difficult for the surgeon to again find the location of the drilled hole.
- an implant can be a compression staple.
- a compression staple comprises a shape memory material (e.g., nitinol).
- FIG. 1 illustrates a perspective view of a drill guide 10.
- the drill guide 10 includes a handle 12 that can be grasped and two alignment tubes 14.
- Each alignment tube 14 includes a body 16 that defines a drill passage 18, a first end region 20 attached to the handle 12, and a second end region 22 that can contact bone 24.
- the handle 12 includes two openings 26, and the drill passage 18 of one alignment tube 14 is aligned with one of the openings 26 of the handle 12.
- the drill guide 10 can be made out of metal (e.g., stainless steel), hard polymeric material, ceramic material, composite material, or any other material.
- the drill guide 10 can be formed in any suitable fashion (e.g., casting, milling, etc.).
- the drill guide 100 can have various sizes and shapes, depending on the size and shape of a patient's anatomy, etc.
- the alignment tubes 14 have a substantially cylindrical shape.
- the second end region 22 includes a bottom surface 32 having a feature that increases traction with the bone 24 to prevent the handle 12 from sliding or moving relative to the bone 24.
- the bottom surface 28 of the second end region 22 includes teeth 29 that are defined by openings 28. In another example, the openings 28 are substantially v-shaped.
- Each alignment tube 14 includes two windows 30 that allows access to the drill passage 18 of the alignment tube 14 from outside the alignment tube 14.
- the window 30 is elongated and extends from the bottom surface 32 of the second end region 22 of the alignment tube 14.
- the window 30 is defined by two side surfaces 48 substantially parallel to a longitudinal axis 50 of the alignment tube 14 and an end surface 52 connecting the two side surfaces 48.
- the end surface 52 is curved.
- the window 30 has a length that is less than one half a length of the alignment tube 14.
- each alignment tube 14 includes two windows 30 that are aligned with each other such that the drill passage 18 is accessible from both sides of the alignment tube 14.
- the windows 30 are spaced approximately 180 degrees apart.
- a portion 34 of the body 16 is located between the two windows 30, and each portion 34 defines two teeth 29 and the opening 28 located between the two teeth 29.
- the drill guide 10 is positioned on the bone 24 at a desired location.
- the teeth 29 grasp the surface of the bone 24.
- a drill bit 36 of a drill 38 is positioned in the aligned opening 26 and drill passage 18, and the drill bit 36 forms a first hole 40 in the bone 24.
- the drill bit 36 is positioned in the other aligned opening 26 and the drill passage 18, and the drill bit 36 forms a second hole 40 in the bone 24.
- the drill 38 is then removed from the drill guide 10, and the drill guide 10 remains on the bone 24 so that each opening 26 and drill passage 18 are aligned with one of the drilled holes 40.
- a surgical instrument 42 such as a grasper, is employed to position an implant 46 for attachment to the bone 24.
- the implant 46 can then be partially attached to the bone 24 by a securing member 44 before the drill guide 10 is removed from the bone 24.
- the securing member 44 is inserted through the windows 30 of the alignment tubes 14 and into the drilled holes 40 to secure the implant 46 to the bone 24.
- the drill guide 10 can be removed from the bone 24.
- the securing member 44 is located in the windows 30, the drill guide 10 can be lifted from the bone 24 without any interaction with the implant 46 or the securing member 44.
- the securing member 44 is a compression staple.
- the compression staple comprises a shape memory material (e.g., nitinol).
- alignment pins are not needed to mark the location of the drilled holes 40 because the drill guide 10 is not removed until the implant 46 is partially attached.
- the alignment tubes 14 of the drill guide 10 are used to mark the location of the drilled holes 40.
- a method of attaching an implant to bone comprising inserting a securing member of an implant through a window of an alignment tube of a drill guide and into a bone while the drill guide is positioned relative to the bone.
- the method includes removing the drill guide from its position relative to the bone after the securing member of the implant is inserted into the bone.
- no alignment pins are utilized.
Description
- This disclosure relates to surgical drill guides.
US 2015/282819 A1 discloses a staple holder and drill guide. The drill guide comprises: a handle including two openings; and two alignment tubes each having a substantially cylindrical shape and including a body that defines a drill passage that aligns with one of the two openings of the handle, the two alignment tubes each including a first end region attached to the handle and a second end region having a bottom surface that can contact bone, wherein the bottom surface of the body includes teeth. -
US 2013/213843 A1 discloses an orthopedic fixation system andUS 2016/310125 A1 discloses a knotless suture anchor guide. - Surgical drill guides are disclosed that allow holes to be drilled into bone at a desired location. Holes are drilled in the bone through referencing holes of the drill guide. A drill guide can be used for guiding a drilling tool (e.g., a drill bit) during formation of one or more holes in bone. A drill guide can be made out of metal (e.g., stainless steel), hard polymeric material, ceramic material, composite material, or any other material. Furthermore, a drill guide can be formed in any suitable fashion (e.g., casting, milling, etc.). Additionally, a drill guide can have various sizes and shapes, depending on the size and shape of a patient's anatomy, etc.
- Drill guides as disclosed herein allow an implant to be partially inserted after the holes are drilled and before the drill guide has been removed from the surgical location. With the disclosed drill guides, alignment pins are not required. Since a drill guide is not removed until the implant is partially inserted, the location of the drilled hole(s) is not lost. Thereby, methods disclosed herein include the specific exclusion of alignment pins. Various implants can be utilized with the disclosed drill guides.
- The present invention provides a drill guide according to claim 1.
- Methods of performing surgery utilizing drill guides are also disclosed herein. In particular, the methods disclosed herein utilize the disclosed drill guides without the need for alignment pins. For example, a method includes inserting a securing member of an implant through a window of a drill guide's alignment tube. Thereby, the securing member is received in a bone hole to attach the implant to the bone while the drill guide is still positioned relative to the bone.
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Figure 1 illustrates a schematic perspective view of an embodiment of a drill guide; -
Figure 2 illustrates a schematic perspective view of an embodiment of the drill guide positioned on bone; and -
Figure 3 illustrates a schematic perspective view of an embodiment of a drill guide and a grasper. - Surgical drill guides allow surgeons to accurately drill holes in a bone at a desired location. After drilling a hole, an alignment pin can be placed into the drilled hole to allow the surgeon to find the location of the hole during surgery. When an implant is to be inserted into the hole, the alignment pin is removed to allow the implant to be attached to the bone with a securing member received in the hole in the bone. However, once the alignment pin is removed, it may be difficult for the surgeon to again find the location of the drilled hole.
- Disclosed herein are drill guides that allow an implant to be partially inserted after the holes are drilled and before the drill guide has been removed from the surgical location. Thereby, alignment pins are not required. Since a drill guide is not removed until the implant is partially inserted, the location of the drilled hole(s) is not lost. Various implants can be utilized with the disclosed drill guides. In an embodiment, an implant can be a compression staple. In an embodiment, a compression staple comprises a shape memory material (e.g., nitinol).
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Figure 1 illustrates a perspective view of adrill guide 10. Thedrill guide 10 includes ahandle 12 that can be grasped and twoalignment tubes 14. Eachalignment tube 14 includes abody 16 that defines adrill passage 18, afirst end region 20 attached to thehandle 12, and asecond end region 22 that can contactbone 24. Thehandle 12 includes twoopenings 26, and thedrill passage 18 of onealignment tube 14 is aligned with one of theopenings 26 of thehandle 12. Thedrill guide 10 can be made out of metal (e.g., stainless steel), hard polymeric material, ceramic material, composite material, or any other material. Furthermore, thedrill guide 10 can be formed in any suitable fashion (e.g., casting, milling, etc.). Additionally, the drill guide 100 can have various sizes and shapes, depending on the size and shape of a patient's anatomy, etc. - The
alignment tubes 14 have a substantially cylindrical shape. Thesecond end region 22 includes abottom surface 32 having a feature that increases traction with thebone 24 to prevent thehandle 12 from sliding or moving relative to thebone 24. Thebottom surface 28 of thesecond end region 22 includesteeth 29 that are defined byopenings 28. In another example, theopenings 28 are substantially v-shaped. - Each
alignment tube 14 includes twowindows 30 that allows access to thedrill passage 18 of thealignment tube 14 from outside thealignment tube 14. Thewindow 30 is elongated and extends from thebottom surface 32 of thesecond end region 22 of thealignment tube 14. In one example, thewindow 30 is defined by twoside surfaces 48 substantially parallel to alongitudinal axis 50 of thealignment tube 14 and anend surface 52 connecting the twoside surfaces 48. In one example, theend surface 52 is curved. In one example, thewindow 30 has a length that is less than one half a length of thealignment tube 14. In one example, eachalignment tube 14 includes twowindows 30 that are aligned with each other such that thedrill passage 18 is accessible from both sides of thealignment tube 14. Thewindows 30 are spaced approximately 180 degrees apart. In this example, aportion 34 of thebody 16 is located between the twowindows 30, and eachportion 34 defines twoteeth 29 and theopening 28 located between the twoteeth 29. - As shown in
Figure 2 , thedrill guide 10 is positioned on thebone 24 at a desired location. Theteeth 29 grasp the surface of thebone 24. Adrill bit 36 of adrill 38 is positioned in the alignedopening 26 anddrill passage 18, and thedrill bit 36 forms afirst hole 40 in thebone 24. After thefirst hole 40 is drilled, thedrill bit 36 is positioned in the other alignedopening 26 and thedrill passage 18, and thedrill bit 36 forms asecond hole 40 in thebone 24. Thedrill 38 is then removed from thedrill guide 10, and thedrill guide 10 remains on thebone 24 so that each opening 26 anddrill passage 18 are aligned with one of the drilledholes 40. - As shown in
Figure 3 , asurgical instrument 42, such as a grasper, is employed to position animplant 46 for attachment to thebone 24. Theimplant 46 can then be partially attached to thebone 24 by asecuring member 44 before thedrill guide 10 is removed from thebone 24. The securingmember 44 is inserted through thewindows 30 of thealignment tubes 14 and into the drilledholes 40 to secure theimplant 46 to thebone 24. After theimplant 46 is attached to thebone 24, thedrill guide 10 can be removed from thebone 24. As the securingmember 44 is located in thewindows 30, thedrill guide 10 can be lifted from thebone 24 without any interaction with theimplant 46 or the securingmember 44. In one example, the securingmember 44 is a compression staple. In an embodiment, the compression staple comprises a shape memory material (e.g., nitinol). - As the
drill guide 10 remains on thebone 24 during attachment of theimplant 46 to thebone 24, alignment pins are not needed to mark the location of the drilledholes 40 because thedrill guide 10 is not removed until theimplant 46 is partially attached. Thealignment tubes 14 of thedrill guide 10 are used to mark the location of the drilled holes 40. - A method of attaching an implant to bone comprising inserting a securing member of an implant through a window of an alignment tube of a drill guide and into a bone while the drill guide is positioned relative to the bone.
- Optionally, the method includes removing the drill guide from its position relative to the bone after the securing member of the implant is inserted into the bone. In one embodiment, no alignment pins are utilized.
- The foregoing description is only exemplary of the principles of the invention. Many modifications and variations are possible in light of the above teachings. It is, therefore, to be understood that within the scope of the appended claims, the invention may be practiced otherwise than using the example embodiments which have been specifically described. For that reason, the following claims should be studied to determine the true scope and content of this invention.
Claims (2)
- A drill guide (10) comprising:a handle (12) including two openings (26); andtwo alignment tubes (14) each having a substantially cylindrical shape and including a body (16) that defines a drill passage (18) that aligns with one of the two openings (26) of the handle (12),the two alignment tubes (14) each including a first end region (20) attached to the handle (12) and a second end region (22) having a bottom surface (32) that can contact bone, whereinthe two alignment tubes (14) each include two windows (30) to allow access to the drill passage (18), wherein the windows (30) extend from the bottom surface (32) of the second end region (22), each window (30) being defined by two side surfaces (48) substantially parallel to a longitudinal axis (50) of the alignment tube (14) and an end surface (52) connecting the two side surfaces (48), whereina portion (34) of the body (16) is located between the two windows (30), wherein the bottom surface (32) of the portion (34) of the body (16) includes teeth (29).
- The drill guide (10) as recited in claim 1, wherein the teeth (29) are defined by openings (28), wherein the openings (28) are substantially v-shaped.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/693,516 US10595885B2 (en) | 2017-09-01 | 2017-09-01 | Surgical drill guide |
PCT/US2018/048764 WO2019046538A1 (en) | 2017-09-01 | 2018-08-30 | Surgical drill guide |
Publications (2)
Publication Number | Publication Date |
---|---|
EP3644873A1 EP3644873A1 (en) | 2020-05-06 |
EP3644873B1 true EP3644873B1 (en) | 2021-10-27 |
Family
ID=63529029
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP18766565.8A Active EP3644873B1 (en) | 2017-09-01 | 2018-08-30 | Surgical drill guide |
Country Status (6)
Country | Link |
---|---|
US (2) | US10595885B2 (en) |
EP (1) | EP3644873B1 (en) |
JP (2) | JP2020532361A (en) |
AU (1) | AU2018323627B2 (en) |
CA (1) | CA3070859C (en) |
WO (1) | WO2019046538A1 (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11690616B2 (en) | 2020-10-16 | 2023-07-04 | Arthrex, Inc. | Orthopedic staple insertion |
WO2023154384A1 (en) * | 2022-02-09 | 2023-08-17 | Intelivation Technologies Llc | Drill guides for facilitating placement of surgical staples into pre-drilled holes and related methods of using the same |
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US5180388A (en) * | 1990-06-28 | 1993-01-19 | American Cyanamid Company | Bone pinning system |
US5324295A (en) * | 1992-04-24 | 1994-06-28 | Shapiro Michael R | Drill guide for surgical pins |
US5840078A (en) * | 1995-03-01 | 1998-11-24 | Yerys; Paul | Method and apparatus for mechanical attachment of soft tissue to bone tissue |
CA2199462C (en) * | 1996-03-14 | 2006-01-03 | Charles J. Winslow | Method and instrumentation for implant insertion |
US5769856A (en) | 1996-06-24 | 1998-06-23 | Osteonics Corp. | Drill guide and implant method |
US7094242B2 (en) | 2001-10-31 | 2006-08-22 | K2M, Inc. | Polyaxial drill guide |
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2017
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2018
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- 2018-08-30 WO PCT/US2018/048764 patent/WO2019046538A1/en unknown
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- 2018-08-30 EP EP18766565.8A patent/EP3644873B1/en active Active
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US10595885B2 (en) | 2020-03-24 |
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AU2018323627A1 (en) | 2020-02-06 |
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